Inserting a Nasogastric Tube

The nurse is preparing to insert a nasogastric (NG) tube into an adult client. Place the following steps in the correct order. Use all options.

1)Place the client in high Fowler's position. 2)Measure the intended length to insert the NG tube. 3)Lubricate the tube tip with water-soluble lubricant. 4)Direct the tube upward and backward along the floor of the nose. 5)Instruct the client to place the chin onto the chest. 6)Advance the tube while the client swallows.

The nurse has just confirmed proper placement of a nasogastric tube. Which action should the nurse take next

Apply skin barrier to the tip and end of the nose

A nurse is assessing a client who has recently had bowel surgery and will be receiving a nasogastric tube. Which finding would most likely contraindicate placement of a nasogastric (NG) tube by the nurse in this client?

History of facial fractures

The nurse has begun inserting the nasogastric (NG) tube when the client coughs. After assessing that the client can speak without difficulty, what does the nurse do next?

Proceed with nasogastric tube placement

Following insertion of a nasogastric tube, the nurse needs to stabilize the tubing for the client. Which action is appropriate for the nurse to take?

Secure the tubing with a safety pin to the client's gown at shoulder level

The nurse is slowly advancing a nasogastric (NG) tube when the client begins to gasp and is unable to vocalize. Which has likely occurred?

The NG tube is in the client's airway

Which documentation does the nurse complete after inserting a client's nasogastric (NG) tube?

measurement of the exposed tube

After measuring from the client's nostril to the ear lobe, how does the nurse continue to measure the length of the nasogastric (NG) tube to be inserted for a client?

to the xiphoid process

After putting on gloves, the nurse lubricates the nasogastric (NG) tube prior to insertion into the client's nares. Which lubricant is appropriate to use?

water-soluble lubricant